Organization Active NPI

Back in Motion Chiropractic LLC

  • Chiropractor
  • Lafayette, IN
National Provider Identifier
1609690395
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BACK IN MOTION CHIROPRACTIC LLC
Practice address
2122 Veterans Memorial Pkwy S Ste C
Lafayette, IN 47909-9339
Phone
(765) 227-2454
NPI assigned
Nov 11, 2024
Last updated
Nov 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Brooke L BoyerNPI 1366113441
Title
Owner
Phone
(765) 227-2454

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

2122 Veterans Memorial Pkwy S Ste C
Lafayette, IN 47909-9339

Mailing address

2122 Veterans Memorial Pkwy S Ste C
Lafayette, IN 47909-9339
Phone (765) 227-2454

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241223002583 IN Part B Supplier - Clinic/Group Practice 9335676873 Receives reassigned benefits from 1 practitioner
Practice locations: Lafayette, IN

National Provider Directory

National Provider Directory

Locations

2122 Veterans Memorial Pkwy S
Ste C
Lafayette, IN 47909
Phone (765) 227-2454

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1731283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731283200000",
    "number": "1609690395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 VETERANS MEMORIAL PKWY S STE C",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479099339",
            "telephone_number": "765-227-2454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2122 VETERANS MEMORIAL PKWY S STE C",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479099339",
            "telephone_number": "765-227-2454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK IN MOTION CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-11",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A",
        "authorized_official_last_name": "BOYER",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-227-2454"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.